[Nasal closure as definitive treatment for epistaxis in Rendu-Osler-Weber disease].
OBJECTIVE
To show the result of this surgical technique for the treatment of nasal bleeding in Rendu-Osler-Weber disease.


METHODS
After great efforts to obtain informed consent for the procedure, considered as a final therapeutic attempt, we present here the surgical technique used in a severe long-standing case with frequent symptoms that required a large number of admissions to our hospital and caused our patient considerable social, family and work-related psychological problems.


RESULTS
The surgical procedure was performed 14 months ago, with no further epistaxis since then, thus bringing to an end the emergency admissions, rated at 7 per year, and reducing consultations at the digestive and psychological clinics. The laboratory studies (haematocrit, complete blood count, bleeding time) have improved greatly.


CONCLUSIONS
This is a safe technique, well tolerated by the patient, that avoids additional pathologies and reduces costs.
Alonso-Treceño
José L
JL
Servicio de Otorrinolaringología, Complejo Hospitalario de Palencia, Palencia, España. jlalonsotreceno@hotmail.com
Alonso-Castañeira
Ignacio
I
Escapa-Garrachón
José M
JM
Moralejo-Martín
Jesús
J
Enterría-González
Angela
A
Freijanes-Otero
Jorge
J
D004844:Epistaxis / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D015508:Nasal Obstruction / Q000209:etiology* / Q000473:pathology; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications* / Q000175:diagnosis